Individual
PROF. ANGELA KATHRYN GADDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
132 FAIRMONT ST STE D, CLINTON, MS 39056-4721
(601) 842-1890
Mailing address
102 GOSHEN SPRINGS LN, BRANDON, MS 39047-7246
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C2169
MS
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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